Chapter 1598: a big heart

"Look at this." Zheng Ren said, "The typical liver schistosomiasis. The imaging features of cirrhosis are incompletely divided cirrhosis. The liver surface is granular or nodular, and the size of the nodules. Different, the diameter is about 1 ~ 10mm."
"The massive deposition of eggs in the liver, especially in the small branches around the dry branches of the portal vein, causes the portal vein branch system, especially the fibrosis around the 2nd, 3rd, and 4th branches, the so-called trunk cirrhosis."
"The cut surface shows that there are different sizes of white fiber mass around the dry branches, which can cause the dry branch to occlude some of the masses. The liver can be deformed. The surface of the liver shows the characteristics of the disease. Not very clear."
"Yeah, this is not exactly..." Su Yun said, suddenly slammed.
After 1.2 seconds, he suddenly said: "You mean the symptoms are too heavy, like the door vein is completely blocked, but the abdominal CT performance is different?"
Zheng Ren smiled.
Talking to a smart person is a matter of saving things. I only mentioned a few points, but Su Yun can think of almost everything after that.
No need to talk nonsense at all.
"Yes, as you said, I think there is a problem with the heart." Zheng Ren then inserted the chest CT into the reader.
"A large amount of fluid in the lungs can cause the heart to be invisible. But here, the density is wrong, and the heart shadow is also very big. Try to convert it, you can find that there is a problem in the right room." Zheng Ren ordered the film. Some excitement said.
Su Yun found that things are beyond control.
He also found that the patient had a big heart, but his judgment was that the patient had heart failure, which led to pericardial effusion and dilated heart shadow.
The first diagnosis is definitely the portal hypertension.
However, Zheng Ren’s diagnosis runs completely against his own diagnosis, which is the best area that Su Yun is good at.
If you can't see it, it's too much.
Su Yun stared at the film, Zheng Rendao: "The bedside ultrasound heart motivation."
After that, the operation room outside the ward was quiet.
Zheng Ren smiled and said it again in the local language. The doctor at the National Hospital understands that he is talking to himself.
The patient vomiting blood, what do you want to do with echocardiography?
He had some different opinions. He just wanted to say, but immediately thought that this group of people was a teacher.
He did not dare to put forward his own opinions and suggestions, and hurriedly pushed the ultrasound heart machine.
Zheng Ren took a shot of Su Yun and said: "Don't look at it, you will understand it as an echocardiogram."
Su Yun is a bit depressed, and the mind is pondering the image of the chest and abdomen of Chu Ang.
Very typical upper gastrointestinal bleeding, portal hypertension, how does the boss judge the heart disease?
Could it be that he was blinded by the rumors of raising blood mites?
Su Yun thought about it, and Zheng Ren came to the ward.
A small, dry patient sits on the bed and tries to breathe oxygen from the oxygen mask.
Although the oxygen flow has been opened to a large extent, he still has a blue lips and is extremely boring.
See Zheng Ren walk in, the patient is trying to take off his own oxygen mask.
A young man around him wants to stop, and he is slap in the palm of his hand.
Although he has been dying, there is no strength, but the young people are afraid of continually bowing their heads and continually admitting their mistakes.
"You are... is Zheng boss." Chu Ang'an asked hard.
Zheng Ren nodded and said: "Is the symptoms of difficulty breathing very heavy?"
"Zheng boss, hello." Chu Ang's hands clasped together, made a respectful posture, "My brother is also a moment of urgency, usually used to it, please forgive me."
"You are Chinese?" Zheng Ren listened to him and asked curiously.
"The ancestors are, I am Chinese." Chu Ang's screaming and grinning, trying to express his goodwill: "I wanted to invite you to take a look. I am too spoiled by me, and... please forgive me. ""
With two forgiveness, Zheng Ren smiled.
"I will check it for you, can you?" Zheng Ren asked.
"Please." Chu Ang An Circuit.
Physical examination, Zheng Ren's simple and clean, like surgery, looks pleasing to the eye.
Soon, Zheng Ren checked and confirmed his judgment.
The patient was sitting in the breathing, the sclera was obviously yellow-stained, the jugular vein was engorged, and the hepatic neck was retracted (+). The right lower lung can smell wet rales, abdominal bulging, mobile dullness (+), liver xiphoid and transverse fingers, severe edema in both lower extremities.
The diagnosis given in the system panel, in addition to the typical portal hypertension, has an incredible diagnosis - heart foreign body!
Zheng Renzhen does not want to deal with these gangs, nor do they know what benefits they can get from worshipping them.
Worm, even if there is no intensive phobia, Zheng Ren feels slightly afraid. Not to mention the bugs, even if the mud was taken out in Haicheng for surgery, Zheng Ren was very careful.
However, in front of Zheng’s eyes, in the eyes of Zheng Ren, it is not a master, but a patient.
In the face of patients, even if they are afraid, they must go to the doctor and cure the disease.
He took a deep breath and immediately asked: "Do you know your condition?"
"Zheng boss, please sit down." Chu Ang Ansai said: "I am going to tell you this is the matter."
Zheng Ren nodded and sat on the chair in the bed.
The chair is very comfortable, it seems that no matter which hospital you go to, it is higher than the 912.
Zheng Ren also knows that this is incomparable.
"Zheng boss, my ancestors, is Miaojiang." Chu Ang Ansai: "It has been nearly a thousand years since coming to Nanyang."
"The ancestors uploaded the secret law, because they have to use their blood to raise their cockroaches, so they are often rebelled and become a big problem."
As he said, he smiled reluctantly. "It’s a big worry, it’s really a big worry."
Maybe it is too excited, maybe it is involved somewhere, maybe it is a lot of oxygen consumption, he breathes immediately, Zheng Ren quickly put the oxygen mask on him, and wonder if you want to get a bottle next to it~www.mtlnovel .com~ lead the pleural effusion.
National hospitals are also, how can we not treat pleural effusion?
However, it may be that the doctors on this side are afraid of the sorcerer. Chu Ang is looking for Zheng Boss to see a doctor, and they will not be willing to take care of them.
After taking a few mouthfuls of oxygen, Chu Angsai felt better.
He took off the oxygen mask and said: "From my grandfather's generation, I began to ponder how to improve. After all, you know that modern technology is going to keep up with the times."
Su Yun suddenly laughed.
Chu Ang Ansai smiled and looked up and asked: "Little brother, what is it called?"
"Su Yun." Su Yun said with a smile: "You are right. Chinese medicine, during the Republic of China, many concepts have not yet been put forward. Now, everyone thinks that it is old-fashioned, in fact, is advancing with the times."
"Well, the little brother is understanding people." Chu Ang Ansai said: "So, at the price of three generations, I finally touched the key to success."